<%@ page language="java" contentType="text/html; charset=UTF-8"
	pageEncoding="UTF-8"%>
<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<script type="text/javascript">
<!--
	var bDate = new Date('${date}');
//-->
</script>
<table width="906" border="0" cellspacing="3" cellpadding="0">
	<tr>
		<td bgcolor="#5B8E0B">&nbsp;</td>
	</tr>
</table>
<table width="906" height="207" border="0" cellpadding="0"
	cellspacing="0">
	<tr>
		<td width="276" height="207" valign="top">
			<table width="265" height="207" border="0" cellpadding="0"
				cellspacing="3">
				<tr>
					<td width="52" height="24" align="center" bgcolor="#CCCCCC">HN:</td>
					<td width="204" bgcolor="#E2E2E2">
						<form name="form1" method="post" action="HistoryController">
							<label for="patient_profile_id"></label> <input type="text"
								name="patient_profile_id" id="patient_profile_id"> <input
								type="submit" name="searchHn" id="searchHn" value="search">
						</form>
					</td>
				</tr>
				<tr>
					<td height="146" colspan="2" valign="top">
						<table width="280" height="146" border="0" cellpadding="0"
							cellspacing="0">
							<tr>
								<td colspan="2" align="left" valign="top" bgcolor="#FFCCCC"><font
									face="TH Niramit AS"><strong>&nbsp;ชื่อ-นามสกุล:&nbsp;</strong>${patient.patientName}&nbsp;${patient.patientLastname}
										&nbsp;&nbsp;&nbsp;&nbsp;<strong>อาย:&nbsp;${patient.patient_birthday}</strong>ุ: </font></td>
							</tr>
							<tr>
								<td width="135" align="left" valign="top" bgcolor="#FFCCCC"><font
									face="TH Niramit AS"><strong>&nbsp;HN:&nbsp;</strong>${patient.patientProfileId}</font></td>
								<td width="145" align="left" valign="top" bgcolor="#FFCCCC">&nbsp;<strong>
										<font face="TH Niramit AS">เพศ:</font>
								</strong><font face="TH Niramit AS">&nbsp;${patient.gender}</font></td>
							</tr>
							<tr>
								<td colspan="2" align="left" valign="top" bgcolor="#FFCCCC"><font
									face="TH Niramit AS"><strong>&nbsp;ที่อยู่:</strong>&nbsp;${patient.address}</font></td>
							</tr>
							<tr>
								<td colspan="2" align="left" valign="top" bgcolor="#FFCCCC"><font
									face="TH Niramit AS">&nbsp;<strong>เบอร์โทร:</strong>&nbsp;${patient.phonNumber}
								</font></td>
							</tr>
							<tr>
								<td colspan="2" align="left" valign="top" bgcolor="#FFCCCC"><font
									face="TH Niramit AS"><strong>&nbsp;เลขประจำตัวประชาชน:</strong>&nbsp;${patient.patientId}</font></td>
							</tr>
							<tr>
								<td colspan="2" align="right" valign="top" bgcolor="#FFCCCC"><input
									type="submit" name="editProfile" id="editProfile"
									value="แก้ไขข้อมูล"></td>
							</tr>
						</table>
					</td>
				</tr>
				<tr>
					<td height="25" align="center" bgcolor="#FF6633">All :</td>
					<td bgcolor="#E2E2E2">&nbsp;</td>
				</tr>
			</table>
		</td>
		<td width="384" valign="top"><table width="384" height="206"
				border="0" cellpadding="0" cellspacing="3">
				<tr>
					<td colspan="3" align="left" bgcolor="#CCCCCC">INDICATION</td>
				</tr>
				<tr>
					<td colspan="2" bgcolor="#E2E2E2">&nbsp;</td>
					<td width="48" align="center" bgcolor="#999999"><strong>...</strong></td>
				</tr>
				<tr>
					<td colspan="3" bgcolor="#E2E2E2">&nbsp;</td>
				</tr>
				<tr>
					<td width="123" bgcolor="#CCCCCC">INR Target</td>
					<td width="201" bgcolor="#E2E2E2">&nbsp;</td>
					<td align="center" bgcolor="#999999"><strong>...</strong></td>
				</tr>
				<tr>
					<td bgcolor="#CCCCCC">Thrombotic risk</td>
					<td bgcolor="#E2E2E2">&nbsp;</td>
					<td align="center" bgcolor="#999999"><strong>...</strong></td>
				</tr>
				<tr>
					<td bgcolor="#CCCCCC">Bleeding risk</td>
					<td bgcolor="#E2E2E2">&nbsp;</td>
					<td align="center" bgcolor="#999999"><strong>...</strong></td>
				</tr>
			</table></td>
		<td width="246" valign="top">
			<table width="247" height="206" border="0" cellpadding="0"
				cellspacing="3">
				<tr>
					<td height="27" bgcolor="#CCCCCC">Underlying disease</td>
				</tr>
				<tr>
					<td height="27" bgcolor="#E2E2E2">&nbsp;</td>
				</tr>
				<tr>
					<td bgcolor="#FF3333">&nbsp;</td>
				</tr>
			</table>
		</td>
	</tr>
</table>